Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.32 / $19.04 / $19.69	Facility	26	$14.32	$19.04	$19.69
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $25.80 / $71.48 / $232.40	Facility	TC	$25.80	$71.48	$232.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $38.24 / $47.43	Professional		$31.63	$38.24	$47.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.86 / $12.53 / $16.97	Professional	26	$10.86	$12.53	$16.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.77 / $25.05 / $30.46	Professional	TC	$20.77	$25.05	$30.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.03 / $14.74 / $14.74	Professional	26	$10.03	$14.74	$14.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $59.84 / $84.62	Professional		$40.76	$59.84	$84.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.62 / $18.52 / $26.19	Professional	26	$12.62	$18.52	$26.19
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $41.32 / $58.43	Professional	TC	$28.14	$41.32	$58.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $83.61 / $129.47	Professional		$52.41	$83.61	$129.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.51 / $26.46 / $39.07	Professional	26	$16.51	$26.46	$39.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.59 / $55.68 / $90.40	Professional	TC	$36.59	$55.68	$90.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $77.69 / $153.69	Professional		$46.66	$77.69	$153.69
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $14.44 / $24.20 / $47.57	Professional	26	$14.44	$24.20	$47.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $32.22 / $57.14 / $106.14	Professional	TC	$32.22	$57.14	$106.14
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $54.42 / $103.35	Professional		$41.86	$54.42	$103.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.69 / $18.51 / $51.38	Professional	26	$14.69	$18.51	$51.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.05 / $36.13 / $64.83	Professional	TC	$28.05	$36.13	$64.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $38.39 / $57.98	Professional		$32.86	$38.39	$57.98
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $12.72 / $18.70	Professional	26	$10.60	$12.72	$18.70
Well Sense Facility/Professional Professional Modifier TC Low / Median / High Price $22.11 / $26.01 / $35.85	Professional	TC	$22.11	$26.01	$35.85